[1]吴 爽,邓茜月,曹志辉,等.居民对家庭医生签约服务的需求偏好研究——基于离散选择实验[J].卫生经济研究,2021,38(5):18-21.
 WU Shuang,DENG Xi-yue,CAO Zhi-hui,et al.Research on Residents' Demand Preference for Contracted Family Doctor Services ——Based on Discrete Selection Experiments[J].Journal Press of Health Economics Research,2021,38(5):18-21.
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居民对家庭医生签约服务的需求偏好研究
——基于离散选择实验
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
38
期数:
2021年5期
页码:
18-21
栏目:
聚焦医改
出版日期:
2021-04-30

文章信息/Info

Title:
Research on Residents' Demand Preference for Contracted Family Doctor Services
——Based on Discrete Selection Experiments
作者:
吴 爽1邓茜月1曹志辉1韩彩欣1韩彩芬1
1.华北理工大学,河北 唐山063210
Author(s):
WU Shuang DENG Xi-yue CAO Zhi-hui HAN Cai-xin HAN Cai-fen
North China University of Science and Technology, Tangshan Hebei 063210, China
关键词:
家庭医生签约服务需求偏好离散选择实验
Keywords:
contracted family doctor services demand preference discrete selection experiments
分类号:
R197.1
文献标志码:
A
摘要:
目的:分析居民对家庭医生签约服务的需求偏好,为家庭医生签约服务的可持续发展提供参考依据。方法:以唐山市370名社区居民为调查对象,进行离散选择实验和Logit回归分析。结果:居民对家庭医生签约服务属性的偏好依次为:签约服务内容(0.658)、家庭医生类型(0.612)、医保报销优惠措施(0.545)、签约费用(-0.013)。其中,服务内容由基本公共卫生服务转变为基本公共卫生服务+家庭巡诊+一般体检时,居民愿意多支付50.62元,在此基础上增加个性化检查化验项目时,居民愿意多支付101.23元。结论:居民对家庭医生签约服务的需求偏好存在差异性,应制定有针对性的综合政策干预包,满足签约居民的需求;离散选择实验可以为政策制定者提供直接的参考依据。
Abstract:
Objective To analyze the residents' demand preference for contracted family doctor services, and to provide reference for the sustainable development of contracted family doctor services. Methods A total of 370 community residents in Tangshan were investigated by discrete selection experiment and Logit regression analysis. Results Residents' preference for the attributes of contracted family doctor services was as follows: contract service conte (0.658), family doctor type (0.612), medical insurance reimbursement preferential measures (0.545), contracted fee (-0.013). Among them, when the service content changes from basic public health service to basic public health service + family rounds + general physical examination, residents are willing to pay 50.62 RMB more, and when personalized examination items are added, residents are willing to pay 101.23 RMB more. Conclusion There are differences in residents' preference for contracted family doctor services, and a targeted comprehensive policy intervention package should be formulated to meet the demand of contracted residents. The discrete selection experiments can provide direct reference for policy makers.

参考文献/References:

[1] 孙华君,陈平,黄登敏,等.家庭医生签约服务现状及对策[J].卫生经济研究,2018(11):50-53.
[2] 殷东,张家睿,王真,等.中国家庭医生签约服务开展现状及研究进展[J].中国全科医学,2018,21(7):753-760.
[3] 许航,曹志辉,吴爽.基于内容分析法的我国家庭医生签约服务政策分析[J].中国全科医学,2018,21(22):2647-2654.
[4] 闫镝,张欢,常捷,等.乡镇卫生院医生工作偏好——基于三省离散选择实验的分析[J].中国卫生政策研究,2014,7(4):44-48.
[5] 袁立,周昌明,江萍,等.上海市长宁区居民家庭医生制服务的需求情况调查[J].中国全科医学,2014,17(32):3860-3864.
[6] 付英杰,王健,俞乐欣,等.健康中国背景下家庭医生签约服务发展中的问题与对策研究[J].中国全科医学,2019,22(19):2296-2300.
[7] 胡小璞,候乐荣,周驰,等.家庭医生签约服务的政策知晓及服务利用研究——基于杭州主城区签约居民调查[J].卫生经济研究,2020,37(1):52-55.
[8] 周晓容,邓靖,彭美华.农村地区家庭医生签约服务现状及对策研究[J].卫生经济研究,2018(4):52-55.

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更新日期/Last Update: 2021-04-30